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Therapeutic clowning in hospital settings: more than a play-fool proposal

Finlay, Fiona ; Baverstock, Anna ; Lenton, Simon

Archives of disease in childhood, 2017-07, Vol.102 (7), p.597-598 [Periódico revisado por pares]

England: BMJ Publishing Group LTD

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  • Título:
    Therapeutic clowning in hospital settings: more than a play-fool proposal
  • Autor: Finlay, Fiona ; Baverstock, Anna ; Lenton, Simon
  • Assuntos: Anesthesia ; Anxiety ; Child ; Child Health ; Children & youth ; Childrens Rights ; Control Groups ; Cost control ; Dental health ; Funding ; Health education ; Hospitals ; Humans ; In vitro fertilization ; Intensive care ; Intensive Care Units, Pediatric ; Intervention ; Laughter Therapy ; Pain ; Pediatrics ; Physicians ; Physiology ; Teams
  • É parte de: Archives of disease in childhood, 2017-07, Vol.102 (7), p.597-598
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  • Descrição: Patch Adams ­ Introduction To many readers clowns in a paediatric intensive care setting may seem counterintuitive; however, the paper by Mortamet and colleagues 1 provides a helpful framework for the introduction of therapeutic clowning in paediatric intensive care units, which could be adapted for many other healthcare settings. Context The first published paper referencing clowns indexed in PubMed dates back to 1969 and their use in dental health education. 2 However it was not until 1998, when the film Patch Adams was released portraying the life and philosophy of Dr Hunter Doherty Adams, that the medical world woke up to the therapeutic potential of clowning. When children are in an alien hospital environment, particularly in an intensive care unit, they may feel they have little choice or control, and therapeutic clowning may complement the biomedical model of care emphasising emotional well-being and promoting resilience. There have been a number of studies including randomised controlled trials performed in preoperative theatres, emergency departments, children's wards and outpatients that support the use of therapeutic clowning to reduce pain and anxiety in children undergoing procedures as an alternative to sedation. There are potential health service cost savings with the introduction of clown programmes, for example reduced medication costs, shorter recovery times following surgery and improved recovery during hospital admission facilitating earlier discharge, and these should be researched further. Professor David Baum, past president of Royal College of Paediatrics and Child Health (RCPCH) and amateur magician, promoted children's rights internationally and introduced 'magic for...
  • Editor: England: BMJ Publishing Group LTD
  • Idioma: Inglês

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